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Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers

青少年酗酒和吸毒筛查：初级保健提供者的研究

基本信息

批准号：
7210098
负责人：
CONSTANCE M. WEISNER
金额：
$ 32.32万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-15 至 2010-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7210098
关键词：
Accounting Address Administrator Adolescent Affect Aftercare Alcohol abuse Alcohols Appointment Attention deficit hyperactivity disorder Attitude Behavior Behavioral Medicine California Case Mixes Characteristics Chemicals Child Childhood Clinic Complement Computerized Medical Record Condition Data Databases Dependency Development Diagnosis Disease Drug usage Early identification Educational Materials Electronics Enabling Factors Evidence based practice Familiarity Family Goals Guidelines Health Health Planning Health Services Research Health Technology Healthcare Hour Incentives Intervention Intervention Studies Interview Knowledge Legal Literature Location Marijuana Medical Mental Depression Mental Health Modeling Monitor NIH Program Announcements National Institute on Alcohol Abuse and Alcoholism Nurse Practitioners Outcome Patient Self-Report Patients Pattern Pediatrics Perception Personal Behavior Pharmaceutical Preparations Physicians Policies Practice Guidelines Practice Management Preclinical Drug Evaluation Prevalence Prevention Primary Health Care Principal Investigator Procedures Protocols documentation Provider Psychiatry Publishing Rate Records Relative (related person)Reporting Research Research Personnel Resources Risk Behaviors Role Schools Screening procedure Self Efficacy Self-Administered Services Site Social Work Specialist Statistical Models Surveys System Teenagers Testing Time Training Training Programs Visit Youth alcohol and other drug boys compliance behavior contextual factors day demographics drug abuse prevention drug testing early /brief intervention /therapy expectation experience follow-up innovation instrument medical specialties pediatric department preference prevent research to practice size

项目摘要

DESCRIPTION (provided by applicant): This application responds to the National Institute on Alcohol Abuse and Alcoholism's Program Announcement PA-05-139 Health Services Research on the Prevention and Treatment of Drug and Alcohol Abuse, and its goal of understanding "factors that affect the delivery of alcohol or drug abuse prevention, treatment, and related services: social factors, personal behaviors and attributes, financing, organization, management; and health technologies." In particular, we focus on expanding primary care's role in prevention and treatment of alcohol and other drug (AOD) problems. We address the gap in research on incentives and barriers for adolescent primary care providers to make AOD use a health care priority. Our aim is to identify the factors associated with screening practices and management of youth AOD use in order to integrate these activities more fully into primary care. We have the opportunity to study this in a large, heterogeneous managed care health plan. We use a model which examines the influence of provider, panel/patient and organizational characteristics on primary care screening and follow-up services. We propose an on-line survey of primary care providers with adolescent panels to investigate their AOD screening practices, and their perceptions of barriers and enabling factors to screening and follow-up interventions. The study makes use of both provider self-report and health plan electronic databases of screening behavior, and provider and panel characteristics. We also use the health plan's electronic medical record and other automated databases to examine reported and actual screening rates, as well as provider practices after the identification of AOD use. We collect data on organizational characteristics across the region's 48 facilities. Our multivariate analytic model examines facility differences in screening rates and accounts for the clustering of providers within facilities as appropriate. We also propose to conduct interviews with health plan administrators and chiefs, of pediatrics departments to explore policies and procedures as they impact development and dissemination of screening practices. Identifying barriers and incentives to screening and management of AOD problems can heighten integration of AOD identification and services within primary care. Early identification of AOD problems can prevent the development of medical, chemical dependency, and psychiatric problems.

描述（由申请人提供）：本申请响应国家酒精滥用和酒精中毒研究所的计划公告 PA-05-139 关于预防和治疗药物和酒精滥用的卫生服务研究，其目标是了解“影响酒精或药物滥用预防、治疗和相关服务提供的因素：社会因素、个人行为和属性、融资、组织、管理；以及卫生技术”。我们特别注重扩大初级保健在预防和治疗酒精和其他药物 (AOD) 问题中的作用。我们致力于解决青少年初级保健提供者将 AOD 的使用作为医疗保健优先事项的激励和障碍方面的研究空白。我们的目标是确定与青少年 AOD 使用筛查实践和管理相关的因素，以便将这些活动更充分地纳入初级保健。我们有机会在大型、异构的管理式医疗保健计划中研究这一点。我们使用一个模型来检查提供者、小组/患者和组织特征对初级保健筛查和后续服务的影响。我们建议与青少年小组一起对初级保健提供者进行在线调查，以调查他们的 AOD 筛查实践，以及他们对筛查和后续干预措施的障碍和有利因素的看法。该研究利用了提供者自我报告和健康计划电子数据库，其中包括筛查行为以及提供者和小组特征。我们还使用健康计划的电子病历和其他自动化数据库来检查报告和实际筛查率，以及确定 AOD 使用后提供者的做法。我们收集该地区 48 个设施的组织特征数据。我们的多变量分析模型检查设施在筛查率方面的差异，并酌情考虑设施内提供者的聚集情况。我们还建议与健康计划管理者和儿科部门负责人进行访谈，以探讨影响筛查实践的制定和传播的政策和程序。确定筛查和管理 AOD 问题的障碍和激励措施可以加强初级保健中 AOD 识别和服务的整合。及早发现 AOD 问题可以防止出现医疗、化学依赖和精神问题。